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Effect of Patient Gender on Evaluation of Intern Performance

Effect of Patient Gender on Evaluation of Intern Performance Abstract • To explore the effect of patient gender on the perceptions of intern performance, 366 patients were interviewed during hospitalization in acute medical services. Women reported being more satisfied with the care they received than did men. In particular, women were more satisfied than men with their intern's demonstration of personal concern. The women placed more importance on personal manner and concern, and their greater satisfaction with these behaviors may have contributed to higher ratings of overall satisfaction. In contrast, the men seemed less satisfied with their intern's personal concern; they also tended to weigh such concern less in determining overall satisfaction. Men considered the presentation of information by the physician and the establishment of dialogue with the physician as more important. The amount of such dialogue may have been inadequate to generate higher levels of overall satisfaction for the men patients. (Arch Intern Med. 1989;149:1825-1829) References 1. Panel Project on the General Professional Education of the Physician and College Preparation for Medicine. Physician for the 21st century . J Med Educ . 1984;59( (suppl) ): 1-200. 2. Subcommittee on Evaluation of Humanistic Qualities in the Internist, American Board of Internal Medicine. Evaluation of humanistic qualities in the internist . Ann Intern Med . 1983;99:720-724.Crossref 3. Sledge W, Lieberman P, Reiser L. Teaching about the doctor-patient relationship in the first post-graduate year . J Med Educ . 1987;62:187-190. 4. Ware JE Jr, Davies-Avery A, Stewart AL. The measurement and meaning of patient satisfaction . Health Med Care Service Rev . 1978;1:1-15. 5. Mechanic D. The Growth of Bureaucratic Medicine . New York, NY: John Wiley & Sons Inc; 1978. 6. Hulka BS, Kupper L, Daly M, Cassel JC, Schoen F. Correlates of satisfaction and dissatisfaction with medical care: a community perspective . Med Care . 1975;13:648-658.Crossref 7. Linn LS. Factors associated with patient evaluation of health care . Milbank Mem Fund Q . 1975;53:531-548.Crossref 8. Ware JE Jr, Snyder MK. Dimensions of patient attitudes regarding doctors and medical care services . Med Care . 1975;13:669-682.Crossref 9. Shortell SM, Richardson WC, LoGerfo JP, Diehr P, Weaver B, Green KE. The relationships among dimensions of health services in two provider systems: a causal model approach . J Health Soc Behav . 1977;18:139-159.Crossref 10. Fox JG, Storms DM. A different approach to sociodemographic predictors of satisfaction with health care . Soc Sci Med . 1981;15A:557-564. 11. Ross CE, Wheaton B, Duff RS. Client satisfaction and the organization of medical practice: why time counts . J Health Soc Behav . 1981;22:243-255.Crossref 12. Zastowny TR, Roghmann KJ, Hengst A. Satisfaction with medical care: replications and theoretic reevaluation . Med Care . 1983;21:294-322.Crossref 13. Linn LS, DeMatteo MR, Chang BL, Cope DW. Consumer values and subsequent satisfaction ratings of physician behavior . Med Care . 1984;22:804-812.Crossref 14. Murphy-Cullen CL, Larsen LC. Interaction between the socio-demographic variables of physicians and their patients: its impact upon patient satisfaction . Soc Sci Med . 1984;19:167-175.Crossref 15. Stewart MA. What is a successful doctor-patient interview? a study of interactions and outcomes . Soc Sci Med . 1984;19:167-175.Crossref 16. Matthews D, Sledge WH, Lieberman PB. Evaluation of intern performance by medical inpatients . Am J Med . 1987;83:938-944.Crossref 17. Gilligan C. In a different voice: women's conception of self and morality . Harvard Educ Rev . 1988;47:481-517. 18. Gilligan C. New maps of development: new visions of maturity . Am J Orthopsychiatry . 1982;52:199-212.Crossref 19. Homer M. Toward an understanding of achievement-related conflicts in women . J Soc Issue . 1972;28:157-176.Crossref 20. Matthews D, Feinstein AR, Joyce CK. A new instrument for patients' appraisals of physicians'performance . Clin Res . 1985;33:758A. Abstract. 21. Matthews DA, Sledge WH, Lieberman PB. Evaluation of intern performance by medical inpatients . Clin Res . 1986;34:828A. Abstract. 22. Matthews DA, Sledge WH, Lieberman PB. How patients appraise interns . Clin Res . 1986;34:872A. Abstract. 23. Freund RJ, Little RC, Spector PC: SAS System for Linear Models . 3rd ed. New York, NY: SAS Institute, Inc; 1986:103-104. 24. Haan N. Hypothetical and actual moral reasoning in a situation of civil disobedience . J Pers Soc Psychol . 1975;32:255-270.Crossref 25. Paludi MA. Psychometric properties and underlying assumptions of four objective measures of fear of success . Sex Roles . 1984;10(9/10):765-781.Crossref 26. Colby A, Damon W. Listening to a different voice: a review of Gilligan's 'In a Different Voice.' Merrill-Palmer Q . 1983;29:473-481. 27. Osherson S. Finding Our Fathers: How a Man's Life Is Shaped by His Relationship With His Father . New York, NY: Fawcell Columbine; 1986. 28. Matthews DA, Sledge WH, Lieberman PB. Vive la difference: gender influences upon patients' ratings of physicians . Clin Res . 1988;36:346A. Abstract. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Effect of Patient Gender on Evaluation of Intern Performance

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Publisher
American Medical Association
Copyright
Copyright © 1989 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1989.00390080085019
Publisher site
See Article on Publisher Site

Abstract

Abstract • To explore the effect of patient gender on the perceptions of intern performance, 366 patients were interviewed during hospitalization in acute medical services. Women reported being more satisfied with the care they received than did men. In particular, women were more satisfied than men with their intern's demonstration of personal concern. The women placed more importance on personal manner and concern, and their greater satisfaction with these behaviors may have contributed to higher ratings of overall satisfaction. In contrast, the men seemed less satisfied with their intern's personal concern; they also tended to weigh such concern less in determining overall satisfaction. Men considered the presentation of information by the physician and the establishment of dialogue with the physician as more important. The amount of such dialogue may have been inadequate to generate higher levels of overall satisfaction for the men patients. (Arch Intern Med. 1989;149:1825-1829) References 1. Panel Project on the General Professional Education of the Physician and College Preparation for Medicine. Physician for the 21st century . J Med Educ . 1984;59( (suppl) ): 1-200. 2. Subcommittee on Evaluation of Humanistic Qualities in the Internist, American Board of Internal Medicine. Evaluation of humanistic qualities in the internist . Ann Intern Med . 1983;99:720-724.Crossref 3. Sledge W, Lieberman P, Reiser L. Teaching about the doctor-patient relationship in the first post-graduate year . J Med Educ . 1987;62:187-190. 4. Ware JE Jr, Davies-Avery A, Stewart AL. The measurement and meaning of patient satisfaction . Health Med Care Service Rev . 1978;1:1-15. 5. Mechanic D. The Growth of Bureaucratic Medicine . New York, NY: John Wiley & Sons Inc; 1978. 6. Hulka BS, Kupper L, Daly M, Cassel JC, Schoen F. Correlates of satisfaction and dissatisfaction with medical care: a community perspective . Med Care . 1975;13:648-658.Crossref 7. Linn LS. Factors associated with patient evaluation of health care . Milbank Mem Fund Q . 1975;53:531-548.Crossref 8. Ware JE Jr, Snyder MK. Dimensions of patient attitudes regarding doctors and medical care services . Med Care . 1975;13:669-682.Crossref 9. Shortell SM, Richardson WC, LoGerfo JP, Diehr P, Weaver B, Green KE. The relationships among dimensions of health services in two provider systems: a causal model approach . J Health Soc Behav . 1977;18:139-159.Crossref 10. Fox JG, Storms DM. A different approach to sociodemographic predictors of satisfaction with health care . Soc Sci Med . 1981;15A:557-564. 11. Ross CE, Wheaton B, Duff RS. Client satisfaction and the organization of medical practice: why time counts . J Health Soc Behav . 1981;22:243-255.Crossref 12. Zastowny TR, Roghmann KJ, Hengst A. Satisfaction with medical care: replications and theoretic reevaluation . Med Care . 1983;21:294-322.Crossref 13. Linn LS, DeMatteo MR, Chang BL, Cope DW. Consumer values and subsequent satisfaction ratings of physician behavior . Med Care . 1984;22:804-812.Crossref 14. Murphy-Cullen CL, Larsen LC. Interaction between the socio-demographic variables of physicians and their patients: its impact upon patient satisfaction . Soc Sci Med . 1984;19:167-175.Crossref 15. Stewart MA. What is a successful doctor-patient interview? a study of interactions and outcomes . Soc Sci Med . 1984;19:167-175.Crossref 16. Matthews D, Sledge WH, Lieberman PB. Evaluation of intern performance by medical inpatients . Am J Med . 1987;83:938-944.Crossref 17. Gilligan C. In a different voice: women's conception of self and morality . Harvard Educ Rev . 1988;47:481-517. 18. Gilligan C. New maps of development: new visions of maturity . Am J Orthopsychiatry . 1982;52:199-212.Crossref 19. Homer M. Toward an understanding of achievement-related conflicts in women . J Soc Issue . 1972;28:157-176.Crossref 20. Matthews D, Feinstein AR, Joyce CK. A new instrument for patients' appraisals of physicians'performance . Clin Res . 1985;33:758A. Abstract. 21. Matthews DA, Sledge WH, Lieberman PB. Evaluation of intern performance by medical inpatients . Clin Res . 1986;34:828A. Abstract. 22. Matthews DA, Sledge WH, Lieberman PB. How patients appraise interns . Clin Res . 1986;34:872A. Abstract. 23. Freund RJ, Little RC, Spector PC: SAS System for Linear Models . 3rd ed. New York, NY: SAS Institute, Inc; 1986:103-104. 24. Haan N. Hypothetical and actual moral reasoning in a situation of civil disobedience . J Pers Soc Psychol . 1975;32:255-270.Crossref 25. Paludi MA. Psychometric properties and underlying assumptions of four objective measures of fear of success . Sex Roles . 1984;10(9/10):765-781.Crossref 26. Colby A, Damon W. Listening to a different voice: a review of Gilligan's 'In a Different Voice.' Merrill-Palmer Q . 1983;29:473-481. 27. Osherson S. Finding Our Fathers: How a Man's Life Is Shaped by His Relationship With His Father . New York, NY: Fawcell Columbine; 1986. 28. Matthews DA, Sledge WH, Lieberman PB. Vive la difference: gender influences upon patients' ratings of physicians . Clin Res . 1988;36:346A. Abstract.

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Aug 1, 1989

References

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